Individual
EMILY MANAGO REISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
111 SHEFFIELD DR, RACINE, WI 53402-3638
(262) 639-1812
Mailing address
PO BOX 44052, RACINE, WI 53404-7001
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
315765-31
WI
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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